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脊柱外科手术中的外科盲:一个广泛的文献综述

Jacob Sperber^1,2, Edwin Owolo¹, Tanner J Zachem^1,3

¹Department of Neurosurgery, Duke University School of Medicine, Durham, NC 27710, USA.

Journal of clinical medicine

|February 24, 2024

概括

脊椎手术后的外科视力丧失 (POVL) 是一种严重的并发症,通常是由缺血性视神经病变 (ION) 引起的. 预防和风险评估至关重要,因为目前没有有效的治疗方法.

科学领域:

眼科医生眼科眼科
神经外科神经外科
手术并发症手术并发症

背景情况:

术后视力丧失 (POVL) 是一种严重的并发症,影响手术恢复和生活质量.
在脊椎手术后最常见的是POVL,这种手术的患病率越来越高.
缺血性视神经病变 (ION) 是脊柱手术中POVL的主要原因.

研究的目的:

汇总有关POVL的现有文献,特别是在脊椎外科手术中.
巩固目前的建议和预防策略,以降低POVL风险.
突出需要进一步研究有效治疗POVL的必要性.

主要方法:

采用范围审查方法来系统地收集相关研究.
分析了文献以确定POVL的原因,危险因素和诊断方法.
综合了现有的数据,制定了预防建议.

主要成果:

POVL,主要是ION,在手术后立即表现出来,通常是不可逆转和严重的.
扩散加权成像是一种最近的诊断进步,用于识别ION.
经历长期倾斜脊柱手术并损失大量血液的患者的风险最高.

结论:

由于缺乏有效的治疗方法,风险分层和患者咨询对于预防POVL至关重要.
预防措施和早期识别风险患者至关重要.
进一步的研究对于开发POVL治疗干预措施至关重要.

关键词:

中央视网膜动脉封闭闭塞这是一个复杂的并发症.皮质失明,皮质失明.缺血性视觉神经病变缺血性视觉神经病变在外科手术期间视力丧失.风险分层的分层是风险分层.脊柱外科手术脊柱外科手术

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